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Did you forgo the sugar test for gestational diabetes?

post #1 of 20
Thread Starter 

I am 30 weeks with baby #5 and i didnt do it with my last baby. He was 10lbs 2 oz. I still havent taken it yet....I'm fairly sure i will forgo it considering i'm already 30wks. Just so many false positives and i'm not huge nor do I have any other symptoms.

 

post #2 of 20

I took the test at 28 weeks. I went straight for the 3 hour since I have a history of failing the 1 hour and then passing the 3 hour. This is baby number 6 so here is my GTT history:

Baby 1: fail 1hr, pass 3hr

Baby 2: fail 1hr, fail 3hr

Baby 3: fail 1hr, pass 3hr

Baby 4: fail 1hr, pass 3hr

Baby 5: decline testing

Baby 6: fail 3hr

 

My mom had gestational diabetes and developed type 2 in her 50s, so that is why I am keeping an eye on it. I am 5'1" and weighed 101lbs before pregnancy. I weigh 123.5 at 30 weeks. No symptoms of blood sugar issues. In fact baby is measuring small as do all my babies. Smallest baby was 6lbs 4 oz, Largest 8lbs, 4oz. I am testing my sugar at home 4 times a day. It is very easy to control with diet. Worst sugar level at home was 134 and that was after a cheese pizza binge. Most of the time I am under 120. I failed my GTT with 207 at 1hr and 171 at 3hrs. I am convinced that I would never consume that much sugar (glucose drink) in one sitting with my natural diet so the test may be misleading.

 

Totally off topic: Mommato3wild, how is your pregnancy depression?

post #3 of 20

I no longer do the test,  for various reasons; it made me sick, inaccuracy and I tested w/my first 3 and had low numbers(80-90) and my 3rd was 11lbs.   I had no problems birthing him naturally(at home).  I didn't do any testing with the next 2 and they were both in the 8lbs range.  I did do the A1C this time and last, and had numbers that were good both times.  I am watching more carefully this time b/c I am more overweight and was feeling crummy a lot of the time, plus I wanted to slow my weight gain. All of my numbers are still good, but I do test on occasion to make sure they stay that way.   Following a loose GD diet has halted the incredible weight I was accumulating this time, for a month now, which is unheard of for me ;)   

 

Anyway, if you are a carb loader, then I would keep an eye on it, if you eat a high protien balanced diet, then the most I would do is the A1C or a bit of testing at home, if anything at all.

post #4 of 20

I declined it and felt even better about doing so after reading the chapter about it in Henci Goer's book Obstetric Myths vs Research Realities. In short, the whole origin of the test is a bunch of bull and something very incorrectly applied to pregnant women.

post #5 of 20

I declined the test again this pregnancy. 

I don't have any risk factors, my mw doesn't push.  I don't have a lot of faith in the test or even the diagnosis or treatment.

post #6 of 20
I've declined it both times. I can't remember whether we discussed it last pg and she never asked me about it this time around.
post #7 of 20
Thread Starter 

Pattimama.....thanks for asking. I am doing much better with the depression. I came across a wonderful book that put me in touch with my baby and this pregnancy. I feel that it was a life savior book.

It's called Ten Moons, The Spiritual Journey of Pregnancy by Jane Harwicke Collings. She is a shamanic midwife in Australia and is wonderful. The book put me right where i needed to be in acceptance of my situation. I am doing great, if only i could get over being sick with the flu......:)

post #8 of 20

I declined the screening it as well and I'm happy with that decision.  The MW said that she thought that made sense, what she normally recommends for moms who have risk factors and are concerned is to go straight to the 3 hr test and skip the screening due to the inaccurate results.

post #9 of 20

I'm opting for the fasting diabetes screening. I told the midwife I didn't want to do the pregnant one cuz I don't think the drink they make you have is natural and she agreed with me. LOL She said she'd rather do the fasting test too. I thought it would be wise to still do a type of diabetes test since it does run in my family big time.

 

For those who don't know - the fasting diabetes screening is going 12 hours without eating (overnight) go in the next morning and have your blood drawn, go eat and come back a couple hours later for another blood draw.

post #10 of 20

I declined and my midwife was fine with that.  She said she will encourage a client take it if she feels she is at risk and still offers it to her low risks mothers.  My only risk factor was I am over 25.  There is a high probability that it would make me pretty sick and that I have a sensitivity/allergy to at least of one the ingredients. With those risks and the fact that I really can't change my diet a whole lot anyway I am better off not taking it and she understood.

post #11 of 20

I have been trying to pick my battles so I went ahead with the one hour which I failed and then failed my three hour by a relatively small margin. So far I test 4 times daily. Fasting in the AM and 2 hours after every meal. So yeah, my numbers have never been over 106 and that was when I went a little overboard on pizza. The only change in my diet is that I'm eating smaller portions more often and completely cut out sweetened drinks (ice tea, soda, etc...which I know I shouldn't have been drinking anyhow). I'm somewhat nervous that this will mean added interventions on my already crazy pregnancy. Since I was put on bed rest and have been getting 17P injections since 16 weeks I think I was put at an unfair disadvantage and will be bringing it up to my OB at my next visit.

 

 

So, if I didn't have multiple risk factors: over 25, overweight, and lots of family history I would decline it in a heartbeat or see if I could test a more natural, healthy way such as the fasting level and after eating a normal balanced meal since I'm pretty sure I would have passed that with flying colors.

post #12 of 20

I declined. Even though there were traces of sugar in my urine at one point. I think the test is so unnatural.  I read somewhere that in 70 % of the cases, women will get different results if tested again.

 

I immediately reduced my carbs intake (don't eat sugar anyway) and have had no sugar spill in my urine since then. My blood sugar levels are fine.

 

post #13 of 20

I didn't take it.  I forgot to ask my MW about what she thinks and I'm not due for another visit until I'm 32 weeks.  I dunno.  It wasn't offered, I forgot to ask, no family history so I'm skipping.  

post #14 of 20
Thread Starter 

I'm a bit upset....went in today for my prenatal....30wks. Going to a free standing birth center.....and i declined when the nurse came in to do vitals etc. Well when she walks out...in walk 2 midwives...one a long time veteran...maybe 25 + years of midwifery....and then a young midwife...freshly out of school....they pretty much gang up on me about it. Saying there are high risks of still birth and if that was to happen.....it would be because of GD....etc....etc.....No family history....i'm not getting it....i stood my ground for quite some time...until i finally got to the point of saying....is this to protect you and this center? Or do I really have the choice....and it was to protect the center......I'm not sure how I feel about this. I said....the only reason i'm doing this is to keep peace and make "you" happy....but other than that....i'm not happy about it at all.

I've been sick with the flu...not eating well....and when i drank that orange crap...OMG!

I got the worst headache....and still 6 hours later....i'm still miserable.

This brought to mind....beta strep test and pku and some other testing.....and beta strep is something i can test out of....pku...is state policy....so no say in that.

Geez....what a day.

Some times i wonder.

post #15 of 20

My friend's midwife is being a jerk about it too. She has 2 midwives and an OB in her midwife group at her hospital. One of the midwives is more natural and the other is more medical. She sees the medical one a lot more than she'd prefer. My friend told the midwife she doesn't have a history of diabetes and that she's really sensitive to large amount of sugars - gives her insane headaches and flares up her crohns. The midwife just told her to take excedrin migraine which totally ticked my friend off as she doesn't want to take that either. She's going to bring it up again at her appointment. I hope she is able to stand her ground - she's a bit weaker than me. Wish I could be there for her to the midwife to back off.

post #16 of 20

I bet it's a thing with the physician back up or license for the center.  My MW with #2 was still apprenticing and her mentor was a CNM who did home births (at the time).  Both my MW and her mentor told me the risks then said that unless I felt strongly about wanting it they did not see any reason for me to do it (even though my father has type 2, it is entirely a lifestyle thing with him) - her views were very much in line with Henci Goer.  That CNM left home birth practice to open a free standing birth center and it is right on her website that clients MUST do all required testing (including GD and beta strep) or they cannot birth at the center and will be transferred to another provider!  I asked a CPM who knows her about this change of heart and whether it was due to some research I was unaware of and she said it was to do with their insurance and the agreement with the docs/hospital.  If a woman doens't do testing she is essentially assumed to have "failed" the test and is considered high risk and thus "risked out" of the free standing birth center.  So stupid.

 

ETA: to answer the original Q - I did it with #1 (horribly sick from the disgusting drink), skipped entirely with #2 and did a 2h post prandial finger stick with this one.
 

Quote:
Originally Posted by Mamato3wild ponnie View Post

I'm a bit upset....went in today for my prenatal....30wks. Going to a free standing birth center.....and i declined when the nurse came in to do vitals etc. Well when she walks out...in walk 2 midwives...one a long time veteran...maybe 25 + years of midwifery....and then a young midwife...freshly out of school....they pretty much gang up on me about it. Saying there are high risks of still birth and if that was to happen.....it would be because of GD....etc....etc.....No family history....i'm not getting it....i stood my ground for quite some time...until i finally got to the point of saying....is this to protect you and this center? Or do I really have the choice....and it was to protect the center......I'm not sure how I feel about this. I said....the only reason i'm doing this is to keep peace and make "you" happy....but other than that....i'm not happy about it at all.

I've been sick with the flu...not eating well....and when i drank that orange crap...OMG!

I got the worst headache....and still 6 hours later....i'm still miserable.

This brought to mind....beta strep test and pku and some other testing.....and beta strep is something i can test out of....pku...is state policy....so no say in that.

Geez....what a day.

Some times i wonder.

post #17 of 20

I lost my baby to undiagnosed gestational diabetes. I wasn't overweight and had no history of diabetes and no one in my family had the disease. Nothing could make me skip that test, and I had it twice. It makes me sick as all get out too, but it beats losing your baby. 

post #18 of 20


That is very sad. :( 

 

But, I don't think the pregnancy one is needed. I feel confident in the fasting glucose screening. 

Quote:
Originally Posted by roslyn View Post

I lost my baby to undiagnosed gestational diabetes. I wasn't overweight and had no history of diabetes and no one in my family had the disease. Nothing could make me skip that test, and I had it twice. It makes me sick as all get out too, but it beats losing your baby. 

post #19 of 20

I really don't want to push the issue (if there would be one) of not taking it. The drink made me nauseous last time, but this time around I've been craving sugary things - pop, sour candies, cookies... I didn't fail last time, but with me being vbac I don't want the hospital to have any excuse to send me to the baby factory hospital down the road.

post #20 of 20

i agreed to eat a high car/sugar meal  vs the drink. waiting for my results.we postponed it until this week because i had a bug and she didnt want to get a false reading

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